A PROSPECTIVE CASECONTROL STUDY- VACUUMASSISTED CLOSURE VERSUS SURGICAL DEBRIDEMENT IN THE MANAGEMENT OF DIABETIC FOOT ULCERS.
Journal Title: PARIPEX-Indian Journal of Research - Year 2018, Vol 7, Issue 9
Abstract
India with 42 million diabetics. Foot ulceration is the most common complication affecting approximately 15% of diabetic patients during their lifetime. The objective of the study was to compare the effectiveness of vacuum-assisted closure (VAC) versus Surgical debridement in diabetic foot ulcerations (DFUs) in terms of healing rate (time to prepare the wound for closure either spontaneously or by surgery), safety, and patient satisfaction. METHODS: The study enrolled 40 patients, divided into two groups. Group A (patients treated with VAC) and Group B (patients treated with conventional dressings), with an equal number of patients in each group. DFUs were treated until wound closure, spontaneously, surgically, or completion of the 8-weeks. RESULTS: Granulation tissue appeared in 14 (70%) patients by the end of Week 2 in Group A, while it appeared in 6 (30%) patients by that time in Group B. 100% granulation was achieved in all the patients by the end of Week 5 in Group A as compared to only 10 (5%) patients by that time in Group B. Patients in Group A had fewer number of positive wound cultures, secondary amputations and had better treatment compliance as compared to Group B. CONCLUSION: VAC therapy is useful in the treatment of diabetic foot infection s, which after debridement, may present with exposed tendon, fascia or bone. These included ray amputation wounds, wounds post-debridement for necrotising fasciitis, wounds post-drainage for abscess, a heel ulcer and a sole ulcer. VAC prepared ulcers well for closure in good time. It reduced cost of therapy by hastening the reduction of wound area. VAC therapy provided a sterile, controlled resting environment to large, exudating wounds. Large diabetic foot ulcers were thus made more manageable.
Authors and Affiliations
Dr. Chandrashekar M. S. , Dr. Nikhil S. , Dr. Rajashekara Babu G.
Keywords
Related Articles
- EP ID EP454812
- DOI -
- Views 127
- Downloads 0
PLASMABLASTIC LYMPHOMA AS ASCITESENDOSCOPE FURTHER
Gastrointestinal Plasmablasticlymphoma(GI - PBL) is common in immunocompromised patients and has grave prognosis. We are reporting two cases of GI-PBL with low Serum Ascites Albumin gradient(SAAG) ascites in immunocompet...
Synchronous Primary Neoplasm In Uterus and Cervix : A Rare Case Report
Synchronous primary malignant neoplasms of the uterus are rare and those of cervix and uterus are even rarer. Thus the treatment is still uncertain.Here we report a case of synchronous primary of carcinoma cervix and car...
Haemoglobin Values of Clarias batrachus Naturally Infected with Digenetic Trematode, Orientocreadium
The present investigation is an attempt to study the alteration in haemoglobin values of Clarias batrachus infested by the digenetic trematode Orientocreadium. The fish were procured from the local markets of Bareilly re...
CORPORATE GOVERNANCE IN INDIA: PRINCIPLES AND PRACTICES
In the age of competitive Globalization and dynamic world, business enterprises need to focus on innovative practices which will help in maximizing stake and shareholders wealth. The fundamental concern of corporate gove...
A STUDY OF SCIENTIFIC ATTITUDE AND SCIENCE INTEREST OF SECONDARY SCHOOL STUDENTS IN PRAKASAM DISTRICT, ANDHRA PRADESH
Science has brought about a change in our life style and also tremendous changes in our way of thinking, attitudes, outlook, etc. Science is part of our daily lives: all day, every day, and also where ever we go. It is p...